LIFEBRIDGE COMMUNITY PHYSICIANS INC NPI 1700719127

NPI Information

  • NPI: 1700719127
  • Provider Name: LIFEBRIDGE COMMUNITY PHYSICIANS INC
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Organization
  • Address: 504 E RIDGEVILLE BLVD STE 110
    MOUNT AIRY, MD
    ZIP 21771
  • Phone: (410) 521-2200

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NPI Details

LIFEBRIDGE COMMUNITY PHYSICIANS INC is a hand surgery orthopaedic surgery in Mount Airy, MD. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. LIFEBRIDGE COMMUNITY PHYSICIANS INC NPI is 1700719127. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

504 E RIDGEVILLE BLVD STE 110
MOUNT AIRY, MD
ZIP 21771-942
Phone: (410) 521-2200
Fax: (410) 601-4494

The provider's authorized official is Mary Rebecca Wright-sisk .
The authorized official title is Director and has the following contact phone number (443) 422-9941.

The enumeration date for this NPI number is 6/5/2026 and was last updated on 6/5/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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